10. Projections for the population of Staffordshire residents with mental health conditions can be found in table 1. The population of residents aged 18 to 64 is predicted to remain static.
11. The number of people aged 18 and over with Common Mental Disorders (CMDs), including different types of depression and anxiety and causing marked emotional distress and interference with daily function, but do not usually affect insight or cognition is 97,652 projected to rise by 1% to 98,515 by 2040.
12. The number of people aged 18-64 estimated to have two or more psychiatric disorders which can include anxiety, depression, antisocial and borderline personality disorders; eating disorder; post-traumatic stress disorder (PTSD); alcohol, drug and gambling dependency, is 37,249 projected to rise by 0.8% to 37,550 by 2040. In 2021/22 there were 6,314 people with schizophrenia, bipolar affective disorder and other psychoses in Staffordshire.
13. There are around 100 suicides each year, with the suicide rates higher than the national average. Staffordshire also has the 5th highest rate among similar local authorities for emergency admissions for intentional self-harm (all ages).
14. In Staffordshire 1 in 3 (33%) emergency adult hospital admissions for had a mental health diagnosis in 2020/21 – lower than nationally. East Staffordshire and Tamworth had the highest admission rates.
15. People with mental health conditions sometimes have other health problems that together create a complex range of needs which affect their cognitive ability, communication, behaviours, and their ability to form and manage relationships.
16. The Covid pandemic had a detrimental impact on mental health, which was highlighted by the Council’s Covid-19 Residents Survey 2021 It is not yet clear whether this was transient or longer term. The impact was greatest on those people who already had mental health conditions, as highlighted by the 'Coronavirus: The Consequences for Mental Health' carried out by the charity MIND.
Table 1: Mental health population projections for Staffordshire 2021-2040
| Service | 2020 | 2025 | 2030 | 2035 | 2040 | % Change 2020 - 2040 |
|---|
| Population aged 18-64 |
517,600
|
520,400
|
519,300
|
518,000
|
521,300
|
0.6%
|
|---|
| People aged 18-64 predicted to have a common mental disorder |
97,652
|
98,240
|
98,083
|
97,864
|
98,515
|
1%
|
|---|
| People aged 18-64 predicted to have a borderline personality disorder |
12,402
|
12,476
|
12,456
|
12,428
|
12,510
|
0.9%
|
|---|
| People aged 18-64 predicted to have an antisocial personality disorder |
17,394
|
17,466
|
17,431
|
17,388
|
17,498
|
0.6%
|
|---|
| People aged 18-64 predicted to have psychotic disorder |
3,623
|
3,642
|
3,636
|
3,627
|
3,651
|
0.8%
|
|---|
| People aged 18-64 predicted to have two or more psychiatric disorders |
37,249
|
37,455
|
37,391
|
37,305
|
37,550
|
0.8%
|
|---|
Source: www.pansi.org.uk version 14.2 and www.poppi.org.uk version 14.2.
Financial context
17. The Council’s gross budget for adult social care in 2022/23 is £380.7M. In 2022/23 the Council spent £15.1M on services for adults with mental health conditions, mostly in the independent sector.
A breakdown of spend can be found in table 2.
Table 2: Gross spend community social care services for adults with mental health conditions 2022/2023
| Service | North | South | Total | Percentage of overall budget |
|---|
| Residential care |
£1,169,620 |
£2,589,781 |
£3,759,401 |
24.83% |
|---|
| Nursing care |
£1,730,052 |
£4,407,571 |
£6,137,623 |
40.54% |
|---|
| Supported living |
£1,388,300 |
£2,426,878 |
£3,815,179 |
25.20% |
|---|
| Respite |
£19,475 |
£20,394 |
£39,869 |
0.26% |
|---|
| Direct payments (various) |
£88,512 |
£1,073,246 |
£1,161,758 |
7.67% |
|---|
| Home care |
£46,455 |
£160,457 |
£206,912 |
1.37% |
|---|
| Other community care |
£881 |
£182 |
£1,063 |
0.01% |
|---|
| Shared Lives |
£0 |
£16,011 |
£16,011 |
0.11% |
|---|
| Total gross expenditure |
£4,443,294 |
£10,694,520 |
£15,137,815 |
100% |
|---|